Organization Active NPI

A Peaceful Haven Residential Community Inc

  • Assisted Living Facility
  • Sylmar, CA
National Provider Identifier
1992693279
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
A PEACEFUL HAVEN RESIDENTIAL COMMUNITY INC
Practice address
13656 Fenton Ave
Sylmar, CA 91342-2278
Phone
(818) 262-3871
Fax
(626) 380-4355
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Claudia Gutierrez
Title
Director
Phone
(818) 262-3871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

13656 Fenton Ave
Sylmar, CA 91342-2278

Mailing address

13656 Fenton Ave
Sylmar, CA 91342-2278
Phone (818) 262-3871

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1992693279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13656 FENTON AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913422278",
            "telephone_number": "818-262-3871",
            "fax_number": "626-380-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13656 FENTON AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913422278",
            "telephone_number": "818-262-3871",
            "fax_number": "626-380-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PEACEFUL HAVEN RESIDENTIAL COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-262-3871"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.